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Inspection Complaint Form

Inspection Station Complaint

Complainant's name

Today's Date

Owner of Vehicle

Address

City/Town

Vehicle being complained about

Year

Make and Model

Registration Number

VIN Number

Phone Number

Date Inspected

Inspection Sticker Number

Odometer Reading on Sticker

Odometer Reading on Vehicle

Station Information

Station Number

Station Name

Inspecting Mechanic

Address

City/Town

Details of Complaint

Maine.gov